At the Mackinac Policy Conference on May 31, Wayne State University President M. Roy Wilson pledged $1 million — along with the university’s extensive research expertise — to radically improve health outcomes in Detroit. Wilson also floated the idea of collaborating with hospitals and other universities to create a school of public health in Detroit, further underscoring Wayne State’s commitment to community health.

The remarks came during a session hosted by Wayne State, in partnership with Henry Ford Health System, the City of Detroit and the American Heart Association, titled “Can Detroit Transform America’s Health?”

David Hefner, WSU vice president for Health Affairs, opened the presentation, pointing out that despite the fact that it spends the most money on health care, the United States is ranked 42nd in the world in life expectancy. That problem is even more pronounced in Detroit, where certain ZIP codes see a 13-year difference in life expectancy.

“We have to do something about that,” Hefner said. “We want to radically improve — not just incrementally improve — health outcomes in Detroit.”

The long-term initiative will begin focusing on cardiovascular disease because it is by far the leading cause of death in the United States and in Detroit, and its interventions can be measured over relatively short periods of time.

During a panel discussion on how to bring about drastic changes, Jessica Donze Black, national vice president of Community Health for the American Heart Association, suggested that aspiration is key to affecting population health.

“When the American Heart Association and our co-funders conceived its One Brave Idea initiative, the goal wasn’t to reduce heart disease. It was to eliminate heart disease, and that’s the expectation of the outcome of that work,” Black said. “It’s not about making Detroit a little bit healthier; it’s how do you make Detroit one of the healthiest cities in the country?”

The panelists agreed this will take a community-wide approach.

“You have to think about businesses, schools, nonprofits, hospitals, all of the agencies that can have an impact on public health,” said Joneigh Khaldun, director and health officer for the City of Detroit Health Department. “My vision for public health in Detroit is that we are all working together in this ecosystem, leveraging data, leveraging resources so that we can really create conditions so that everyone in Detroit can be healthy and thriving.”

Given all of the players needed to make radical change a reality, a Leadership Town Hall will be held Aug. 1, from 3 to 5 p.m. at Wayne State’s Integrative Biosciences Center (6135 Woodward Ave., Detroit) to engage additional community entities in the initiative.

Kimberlydawn Wisdom, senior vice president of Community Health and Equity and chief Wellness and Diversity officer at Henry Ford Health System, said the entire continuum of care needs attention.

“Hospitals can provide the highest level of care, but if we don’t look at other social determinants of health — such as housing instability, food insecurity and transportation — it doesn’t make that high-quality care as effective.”

The $1 million committed by Wilson will be dedicated to “plan the plan” during the next year, which will involve receiving input from throughout the community on how to address the issue of community health. Wilson also committed to challenge every school, college and institute at Wayne State to examine how they can utilize their unique approaches to minimize health disparities.

If the initiative proves successful, the new approach could be replicated and implemented in urban communities throughout the country.
The group plans to track its progress and report back at the Mackinac Policy Conference each year for the next 20 years.